Wednesday, September 30, 2015

URGENT: ICD-10 Coding Resources

 
URGENT: ICD-10 Coding Resources

 ICD-10 goes into effect October 1, 2015. 

AccuChecker OnLine Basic is an Internet database subscription service with procedures, diagnoses (ICD-9 and ICD-10). AccuChecker OnLine is updated periodically.
AccuChecker OnLine BASIC is easy to use, a quick online demonstration and in minutes you can start using the system. It is just that simple!
The AccuChecker OnLine BASIC is an Internet service with:

  •          Procedures – CPT, Category II and HCPCS codes.
  •          Diagnoses codes (ICD-9-CM and ICD-10-CM).
  •          Free HOT-LINE SUPPORT.

Other modules available:

·         Fee Schedule

·         PQRS

·         HEDIS

 
FOR MORE INFORMATION PLEASE CONTACT:
HPP Management Group, Corp.
Developers of the AccuChecker Product Line


Phone: (305) 227-2383  or 1-877-938-9311



 

ICD10 - Here We Go








FREE ICD10 WEBINARS
 
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PEDIATRIC PRACTICES WEBINAR - 10 AM TO 12:00 PM (EST) or 1:00 TO 3:00 PM (EST) – TUESDAY

ADULT PRACTICES WEBINAR - 10 AM TO 12:00 PM (EST) or 1:00 TO 3:00 PM (EST)  WEDNESDAY


  • How to prepare your ICD10 Super Bill  
  • Transition from ICD9 to ICD10 using AccuChecker OnLine  
  • What to look in ICD10 from your EMR and Practice Management System  
  • HEDIS and PQRS measures using ICD10

Performance Reports - VALUE BASE MODIFIER – the transition to Pay-for Performance

 
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FOR MORE INFORMATION
HPP Management Group, Corp.
5201 Blue Lagoon, Suite 800
Miami, FL 33126
Phone: (305) 227-2383
Email: pesilverio@hppcorp.com
Website: http://www.accuchecker.com
 

 







 
 

 

 
 
 
 



Thursday, September 17, 2015

Final Prep for ICD-10



HPP Management Group, Corp.
5201 Blue Lagoon Drive
Suite 815
Miami, Florida 33126
Phone: (305)227-2383  or 1-877-938-9311



 



Healthcare organizations may feel like there’s little time left to get ready for the new code set during the final few weeks of the ICD-10 preparation period.  Providers should take advantage of whatever time is left by making sure they have completed a series of basic tasks.

Ø  Understanding ICD-10 ( Mapping of ICD-9 to ICD-10 )

Ø  Meeting Compliance Deadlines

Ø  Prepare ICD-10 for HEDIS / PQRS

Ø  Flag Common Codes

Ø  Understand Clinical Documentation

Ø  Creation of NEW Templates

 

Varying Changes by Clinical Areas Changes in the number of codes

 

Clinical Area
ICD-9 Codes
ICD-10 Codes
Fractures
747
17099
Poisoning and toxic effects
244
4662
Pregnancy related conditions
1104
2155
Brain Injury
292
574
Diabetes
69
239
Migraine
40
44
Bleeding disorders
26
29
Mood related disorders
78
71
Hypertensive Disease
33
14
End stage renal disease
11
5
Chronic respiratory failure
7
4

 

Sample of Mapping ICD-9 to ICD-10

 

Common Codes      :    FAMILY PRACTICE

ICD-10 Compliance Date: October 1, 2015

 
Abdominal Pain (ICD-9-CM 789.00 to 789.09 range)
 

R10.0 Acute abdomen

R10.10 Upper abdominal pain, unspecified

R10.11 Right upper quadrant pain

R10.12 Left upper quadrant pain

R10.13 Epigastric pain

R10.2 Pelvic and perineal pain

R10.30 Lower abdominal pain

R10.31 Right lower quadrant pain

R10.32 Left lower quadrant pain

R10.33 Periumbilical pain

R10.84 Generalized abdominal pain

R10.9* Unspecified abdominal pain

 

Acute Respiratory Infections (ICD-9-CM 462, 465.9, 466.0)
[Note: Organisms should be specified where possible]

J02.8 Acute pharyngitis due to other specified organisms

J02.9* Acute pharyngitis, unspecified

J06.9* Acute upper respiratory infection, unspecified

J20.0 Acute bronchitis due to Mycoplasma pneumoniae

J20.1 Acute bronchitis due to Hemophilus influenzae

J20.2 Acute bronchitis due to streptococcus

J20.3 Acute bronchitis due to coxsackievirus

J20.4 Acute bronchitis due to parainfluenza virus

J20.5 Acute bronchitis due to respiratory syncytial virus

J20.6 Acute bronchitis due to rhinovirus

J20.7 Acute bronchitis due to echovirus

J20.8 Acute bronchitis due to other specified organisms

J20.9* Acute bronchitis, unspecified
 

 

 

Common Codes      :    PEDIATRICS

 

ICD-10 Compliance Date: October 1, 2015 

 

Ø  Abdominal Pain

Ø  Acute Bronchitis

Ø  Acute Pharyngitis

Ø  Allergic Inflammation of the Nasal Airways

Ø  Asthma

Ø  Chest Pain

Ø  Diabetes Mellitus (Select)

Ø  Headache

Ø  Otitis Media

Ø  Pain in Limb

Ø  Routine Child Health Examination

Ø  Urinary Tract Infection, Cystitis

 

 
Asthma (ICD-9-CM 493.00, 493.01, 493.02, 493.10, 493.11, 493.12, 493.20, 493.21, 493.22, 493.81, 493.82 , 493.90, 493.91, 493.92)
 

ICD-10

J45.20 Mild intermittent asthma, uncomplicated

J45.21 Mild intermittent asthma with (acute) exacerbation

J45.22 Mild intermittent asthma with status asthmaticus

J45.30 Mild persistent asthma, uncomplicated

J45.31 Mild persistent asthma with (acute) exacerbation

J45.32 Mild persistent asthma with status asthmaticus

J45.40 Moderate persistent asthma, uncomplicated

J45.41 Moderate persistent asthma with (acute) exacerbation

J45.42 Moderate persistent asthma with status asthmaticus

J45.50 Severe persistent asthma, uncomplicated

J45.51 Severe persistent asthma with (acute) exacerbation

J45.52 Severe persistent asthma with status asthmaticus

J45.901* Unspecified asthma with (acute) exacerbation

J45.902* Unspecified asthma with status asthmaticus

J45.909* Unspecified asthma, uncomplicated

J45.990 Exercise induced bronchospasm

J45.991 Cough variant asthma

J45.998 Other asthma
 

*Codes with a greater degree of specificity should be considered first. 

Documentation Requirements

 

Concept
 
Number of Codes
Initial Encounter
13,932
Subsequent Encounter
21,389
Sequela
11,974
Right
12,704
Left
12,393
Routine Healing
2,913
Delayed Healing
2,913
Nonunion
2,895
Malunion
2,595
Assault
1096
Self-harm
1057
Accidental
1262

  

Anatomical location

Which anatomical structure

·         Proximal, distal, medial, lateral, central, peripheral, superior, inferior, anterior, posterior…

Laterality

Right side or left side

Severity

Mild, moderate or severe

Environmental factors

·         Smoking

·         Geographic location  

 

For example: Otitis Media

ICD-10 Relevant Documentation Otitis Media Concepts:

Type:

•Serous

•Suppurative or non-suppurative

•Tubotympanic

•Atticoantral

•Allergic

•Mucoid

 

Type (alternate terms):

•Sanguinous

•Seromucinous

•Exudative

•Transudative

•Secretory

•with effusion (non-purulent)

•Catarrhal

•Purulent

•Myringitis

 

 Associated with:

With spontaneous rupture of the TM

Without spontaneous rupture of the TM

Infectious or other external agent…

Smoking

o   Exposure to environmental tobacco smoke

o   History of tobacco use

o   Occupational exposure to environmental tobacco smoke

o   Tobacco dependence

o   Tobacco use

Allergic or non-allergic

 

 

Temporal Factors:

Acute or subacute or chronic

Recurrent

 

Laterality:

Left or right

Bilateral or unilateral

The Diagnosis:

 

ICD-10
Description
B053
Measles complicated by otitis media
H6501
Acute serous otitis media, right ear
H65113
Acute and subacute allergic otitis media
 
(mucoid) (sanguinous) (serous), bilateral
H65194
Other acute nonsuppurative otitis media,
 
recurrent, right ear
H6532
Chronic mucoid otitis media, left ear
H66012
Acute suppurative otitis media with
 
spontaneous rupture of ear drum, left ear
H6613
Chronic tubotympanic suppurative otitis
 
media, bilateral
H6622
Chronic atticoantral suppurative otitis media, left ear
J1183
Influenza due to unidentified influenza virus with
 
otitis media

 
 
Poor quality documentation is bad for Payers, Providers and Patients:

 

·         Billing accuracy

·         Quality measures

·         Population management

·         Risk management

·         Healthcare analytics

·         Patient Care

 
 
The time to act is now!!!
 

 

 

FOR MORE INFORMATION
HPP Management Group, Corp.
5201 Blue Lagoon, Suite 800
Miami, FL 33126
Phone: (305) 227-2383